Why the study?
Small imbalances between inward sodium and outward potassium currents can trigger catastrophic arrhythmias and sudden cardiac death, but the mechanisms establishing this balance are not understood.
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Design
Biochemical, electrophysiological, and single-molecule fluorescence localization study
Answers are grounded in this paper and cite their sources.
Catastrophic arrhythmias and sudden cardiac death can occur with even a small imbalance between inward sodium currents and outward potassium currents, but mechanisms establishing this critical balance are not understood. Here, we show that mRNA transcripts encoding INa and IKr channels (SCN5A and hERG, respectively) are associated in defined complexes during protein translation. Using biochemical, electrophysiological and single-molecule fluorescence localization approaches, we find that roughly half the hERG translational complexes contain SCN5A transcripts. Moreover, the transcripts are regulated in a way that alters functional expression of both channels at the membrane. Association and coordinate regulation of transcripts in discrete ‘microtranslatomes’ represents a new paradigm controlling electrical activity in heart and other excitable tissues.
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Eichel et al. (2019) studied this question.
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